Provider Demographics
NPI:1225339005
Name:SILICON VALLEY COMMUNITY HEALTHCARE RESOURCE, INC.
Entity Type:Organization
Organization Name:SILICON VALLEY COMMUNITY HEALTHCARE RESOURCE, INC.
Other - Org Name:SILICON VALLEY ADULT DAY HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:MENG-JU
Authorized Official - Middle Name:EVA
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-219-0489
Mailing Address - Street 1:1533 CALIFORNIA CIR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-8101
Mailing Address - Country:US
Mailing Address - Phone:408-719-1004
Mailing Address - Fax:408-719-1094
Practice Address - Street 1:1533 CALIFORNIA CIR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-8101
Practice Address - Country:US
Practice Address - Phone:408-719-1004
Practice Address - Fax:408-719-1094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070000653251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services